Individual
MRS. MARY PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2416 STURGIS LN, AUSTIN, TX 78748-1054
(832) 465-3675
Mailing address
2416 STURGIS LN, AUSTIN, TX 78748-1054
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT018046
TX
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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